A large area of encephalomalacia is present on the left side involving much of the temporal lobe, posterior frontal and parietal lobes with surrounding gliosis, consistent with an old MCA territory infarct. There is associated ex vacuo dilatation of the left lateral ventricle, and atrophy of the left cerebral peduncle consistent with Wallerian degeneration.
No restricted diffusion (rather there is facilitated diffusion) and only a few regions of signal drop out due to blood products are noted.